Welcome to the

Model Aquatic Health Code Network Webinar

Healthy and Safe Swimming at Public Aquatic Venues during the COVID-19 Pandemic

Friday, May 22, 20201:00pm ET

Listen via your computer speakers or Call: +1 929-205-6099 / Webinar ID: 954 6129 6280

Questions may be submitted via the Q&A box.

This webinar is being recorded.

Featured Guest Speakers

Jennifer Murphy, PhDWASH Team Lead/Community Intervention and

At Risk Task Force/CDC COVID-19 ResponseCenters for Disease Control and Prevention

iod7@cdc.gov

Michele Hlavsa, RN, MPHChief, CDC's Healthy Swimming Program

Centers for Disease Control and Preventionacz3@cdc.gov

Dewey CaseTechnical Director

Council for the Model Aquatic Health Codedeweycase@cmahc.org

cdc.gov/coronavirus

COVID-19 Considerations for Public Aquatic Venues

Jennifer Murphy, PhD

WASH Team Lead

Community Intervention and At Risk Task Force

CDC COVID-19 Response

Michele Hlavsa, RN, MPH

Epidemiologist, Healthy Swimming

NACCHO MAHC Network WebinarMay 22, 2020

Overview of Presentation

▪ COVID-19 Disease and Prevention

▪ Cleaning and Disinfection

▪ Considerations for Public Aquatic Venues

– Promoting Behaviors that Prevent the Spread of COVID-19

– Maintaining Healthy Environments

– Maintaining Healthy Operations

– Preparing for When Someone Gets Sick

▪ CDC COVID-19 Resources

COVID-19 Disease and Prevention

COVID-19: Outbreak Update

▪ Caused by the virus SARS-CoV-2

▪ First U.S. case reported January 21, 2020

▪ As of May 21: 1,551,095 cases and 93,061 deaths

▪ 50 states and 8 U.S.-affiliated jurisdictions have confirmed cases

▪ www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html

COVID-19: How It Spreads▪ The virus is thought to spread mainly from

person to person

– Between people who are in close contact with one another (within about 6 feet)

– Through respiratory droplets produced when an infected person coughs, sneezes, or talks

▪ These droplets can land in the mouths or noses of people who are nearby, or possibly be inhaled into the lungs

▪ People without symptoms may be able to spread COVID-19

▪ People may be able to get COVID-19 by touching a surface or object that has the virus on it and then touching their mouth, nose, or eyes

COVID-19: Symptoms and Complications

Symptoms may include

▪ Cough

▪ Shortness of breath or difficulty breathing

▪ Fever

▪ Chills

▪ Muscle pain

▪ Sore throat

▪ New loss of taste or smell

Wide range of illness severityhas been reported▪ Mild to severe illness▪ Can result in death

Estimated incubation period

▪ 2 to 14 days

Complications may include

▪ Pneumonia

▪ Respiratory failure

▪ Multisystem organ failure

Symptom Self-Checker

COVID-19: Protect Yourself

Prevent the Spread of Disease

▪ Avoid touching your eyes, nose, and mouth with unwashed hands

▪ Avoid close contact with people when not at home (social distancing)

▪ Wash your hands often with soap and water for at least 20 seconds– Use an alcohol-based hand sanitizer with at least

60% alcohol if soap and water are not available

▪ Clean and disinfect frequently touched objects and surfaces

COVID-19: Protect Others

Other ways you can help prevent respiratory illnesses

▪ Stay home when you are sick▪ Cover your cough or sneeze with a tissue, or the inside of your

elbow, then throw away used tissues and wash your hands▪ Avoid close contact with people when not at home (social

distancing)▪ Wear a cloth face covering over your nose and mouth when you

are in public, especially in situations where you may be near people

• Important: Cloth face coverings are NOT a substitute for social distancing

COVID-19: Social Distancing and Face Coverings

▪ Social distancing is the most important tool we have for slowing the spread of COVID-19

– Stay at least 6 feet from other people

– Do not gather in groups

– Stay out of crowded places and avoid mass gatherings

– Wear a cloth face covering when you are in public, especially in situations where you may be near people.

Cleaning and Disinfection

COVID-19: Disinfect with the Right Chemicals

▪ Cleaning and disinfection should be effective

✓Clean first, especially if the surface is dirty

✓Use List N EPA-registered disinfectants

✓Follow manufacturer’s instructions for

✓ Application method

✓ Contact time

✓ If List N disinfectants are not available, household bleach can be diluted (1/3 cup of bleach into a gallon of water)

COVID-19: Disinfect the Right Surfaces

▪ Disinfection should be efficient

✓Focus on surfaces and objects that are frequently touched by multiple people

✓ For example, doorknobs, light switches, phones, faucets and sinks, handles, tables, countertops, remote controls

Many surfaces do not need to be disinfected

Surfaces and objects that are not frequently touched

Walls, floors, sidewalks, groundcovers

Areas that have not been used by anyone in the past 7 days

COVID-19: Disinfect with the Right Protection

▪ Cleaning and disinfection should be safe✓Staff should be instructed on how to apply the disinfectants according to

the label

✓Use disinfectants at the correct concentration

✓Use personal protective equipment (PPE) according to manufacturer’s instructions

✓Ensure sufficient ventilation for disinfectants used

✓Keep all disinfectants out of reach of children

✓Store disinfectants appropriately

COVID-19 Considerations for Public Pools, Hot Tubs, and Water Playgrounds

COVID-19: Considerations for Public Aquatic Venues

▪ This presentation includes considerations for the safety of those who operate, manage, and use public pools, hot tubs, and water playgrounds

▪ All decisions about implementing these considerations should be made locally, in collaboration with local health officials

Considerations for Public Aquatic Venues

▪ Promoting Behaviors that Prevent the Spread of COVID-19

▪ Maintaining Healthy Environments

▪ Maintaining Healthy Operations

▪ Preparing for When Someone Gets Sick

Promoting Behaviors that Prevent the Spread of COVID-19

Hand Hygiene and Cloth Face Coverings

▪ Encourage all staff, patrons, and swimmers to wash their hands often and cover their coughs and sneezes

– Ensure adequate supplies to support healthy hygiene (soap, hand sanitizer, paper towels, tissues, and no-touch trash cans)

▪ Encourage the use of cloth face coverings as feasible

– Advise those wearing face coverings to not wear them in the water

Staying Home When Sick

▪ Educate staff, patrons, and swimmers about when to stay home. For example, if they:

– Have symptoms of COVID-19

– Have tested positive for COVID-19

– Were exposed to someone with COVID-19 within the last 14 days

Signs and Messages

▪ Post signs about how to stop the spread of COVID-19, properly wash hands, promote everyday protective measures, and properly use a cloth face covering in highly visible locations

– See CDC print resources link at end of presentation

▪ Broadcast regular announcements about how to stop the spread on PA systems

▪ Include messages about behaviors that prevent the spread of COVID-19 in contracts with individual patrons or households, in emails, on facility websites, through facility’s social media accounts, and on entrance tickets

Maintaining Healthy Environments

Cleaning and Disinfection

▪ Clean and disinfect frequently touched surfaces at least daily and shared objects each time they are used

– Handrails, slides, and structures for climbing or playing

– Lounge chairs, tabletops, pool noodles, and kickboards

– Door handles and surfaces of restrooms, handwashing stations, diaper-changing stations, and showers

▪ Decide which List N disinfectants approved by the U.S. Environmental Protection Agency (EPA) are best for your aquatic venue

▪ Ensure safe and correct use and storage of disinfectants, including storing products securely away from children

Maintaining Social Distancing

▪ Modify layouts

– Change deck layouts to ensure that individuals can remain at least 6 feet apart from those theydo not live with

▪ Provide physical barriers and guides

– Physical cues or guides, such as lane lines in the water or chairs and tables on the deck

– Visual cues, such as tape on the decks, floors, and sidewalks and signs

Communal Spaces and Shared Objects

▪ Stagger the use of communal spaces (for example, in the water or in the breakroom)

– Clean and disinfect frequently touched surfaces at least daily

– More frequent cleaning and disinfection may be required based on level of use

▪ Discourage people from sharing items that are difficult to clean, sanitize, or disinfect or that are meant to come in contact with the face

▪ Discourage the sharing of items such as food, equipment, toys, and supplies

Maintaining Healthy Operations

Staffing

▪ Consider protections for vulnerable staff (for example, telework or modified job responsibilities)

▪ Ensure lifeguards who are actively lifeguarding are not also expected to monitor handwashing, use of cloth face coverings, or social distancing

▪ Implement sick leave policies and practices for staff that are flexible and non-punitive

▪ Train staff on all safety protocols

▪ Conduct daily health checks (for example, temperature screening or symptom checking) of staff

Gatherings

▪ Avoid group events, gatherings, or meetings both in and out of the water if social distancing of at least 6 feet between people who don’t live together cannot be maintained

▪ Exceptions to social distancing guidance include:

– Rescuing a distressed swimmer, providing first aid, or performing CPR

– Individuals in the process of evacuating an aquatic venue or facility due to an emergency

▪ Be aware of local or state regulatory agency policies on gathering requirements

Preparing for When Someone Gets Sick

Preparing for When Someone Gets Sick

▪ Isolate and transport those who are sick to their home or a healthcare provider

– Immediately separate staff, patrons, or swimmers with COVID-19 symptoms

▪ Notify health officials and close contacts

Preparing for When Someone Gets Sick

▪ Clean and disinfect areas used by a sick person

– Close off areas used by a sick person until after cleaning and disinfecting

– Wait >24 hours before cleaning and disinfecting these areas

– Ensure safe and correct use and storage of List N EPA-approved disinfectants, including storing

products securely away from children

COVID-19: CDC Resources

▪ Latest COVID-19 information

▪ Cleaning and Disinfection

▪ Guidance for Businesses and Employers

▪ CDC Healthy Swimming

▪ CDC Steps of Healthy Swimming

▪ COVID-19 Prevention

▪ Handwashing Information

▪ Face Coverings

▪ Social Distancing

▪ COVID-19 Frequently Asked Questions

▪ CDC Communication Resources

▪ COVID-19 Considerations for Public Pools, Hot Tubs, and Water Playgrounds

Questions?

Jennifer Murphy

iod7@cdc.gov

Michele Hlavsa

acz3@cdc.gov

Dewey Case (Technical Director, Council for the Model Aquatic Health Code)

DeweyCase@cmahc.org

For more information, contact CDC1-800-CDC-INFO (232-4636)TTY: 1-888-232-6348 www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Questions?

Questions may be submitted via the Q&A box

A Q&A Summary will be distributed following the webinar

Announcements

❖ NACCHO 360 Conference: July 7-9, 2020 (Virtual)❖ Registration will open soon!❖ http://www.nacchoannual.org

❖ NEHA 2020 Annual Educational Conference (AEC) & Exhibition (Cancelled) ❖ https://www.neha.org/neha-2020-annual-educational-conference-aec-

exhibition

❖ Learn more and join the Model Aquatic Health Code Network:❖ Website: https://www.naccho.org/mahc❖ E-mail: MAHCnet@naccho.org

Thank you for attending today’s webinar!

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